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Privacy in this era is threatened by the growth in technology with capacity that is enhanced for surveillance, storage, communication as well as computation. Moreover, the increased value of this information in decision making is one of the insidious threats. For this reason, information and its privacy are actually threatened and less privacy is assured.

This systematic review protocol is registered with PROSPERO, under the registration number CRD42017060339, and may be accessed online at

Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).

Giving birth should be a beautiful experience even though delivery can be terrifying and discomfort. Even though women have the decision to choose between having a natural childbirth or get an epidural majority of women give birth at a hospital get an epidural. Make sure when you base your decision on what’s best for your infant and not base off anyone influencing you. What constitutes a “Natural childbirth”? A natural childbirth is when a woman gives birth without any medication. You can choose between having a mid-wife and having an at home birth or you can give birth at the hospital without any medication either way is consider giving natural childbirth. According to Kristeen, an epidural is drugs called local anesthetics, such as bupivacaine, chloroprocaine, or liocaine it numbs the abdomen or pelvic region during labor. An epidural is given when the women is about 4 or 5 centimeters dilated (Cherney, par.2-6). In order to get an epidural you have to get a shot in your spine (lower back). In 1909, the first caudal anaesthesia was given for labor pains by a German obstetrical, Walter Stoeckel, and he study 141 cases of healthy laboring women with epidurals. In 1931, the first catheter was used in an epidural. By the 1940s, epidural were being used sporadically for labor but did not gain true momentum until the 1970s. This was in large part due to the fact that other

It synthesizes the results of various primary studies by using strategies that reduces biases and random errors. These reviews follow a strict scientific design and provide consistent estimates about the effects of interventions, therefore, conclusions are defensible. Systematic reviews shows where knowledge is lacking and can be used to guide future research. These reviews are usually carried out in the areas of clinical tests such as diagnostic, screening and prognostic; public health interventions; economic evaluations; adverse effects and how and why interventions work. Cochrane reviews are systematic reviews undertaken by Cochrane Collaboration members, aims to help people to make well-informed decisions about healthcare by preparing, maintaining, and promoting the accessibility of systematic reviews of the effects of healthcare

In the past, in the United States the majority of women delivered at home with no anesthetics; women might have received assistance through a family doctor, including midwife care (Thomas, 2011). A radical change happened by the 1960s, when hospital childbirths had become the norm, the pain of the experience was reduced by epidural anesthesia controlled by a physician. Pregnant women received education on breastfeeding and other topics during their medical visits (Thomas, 2011).

The study was a systematic review of scientific papers selected by a search of the SciELO, Cochrane, MEDLINE, and LILACS-BIREME databases. Among the 2169 articles found, 12 studies proved relevant to the issue and presented an evidence strength rating of B. No publications rated evidence strength A. Seven of the studies analyzed were prospective cohorts and 5 were cross-sectional studies.

The state having to repay Medicaid may mean a cut in billable services for Nebraska DD providers. In a staff meeting at Nebraska-DHHS, DD Director Courtney Miller, “the proposed plan is to allow 35 billable hours of Day Habilitation per week instead of 40. This should save money and pay what is owed to Medicaid-CMS” (Miller, personal communication July, 2nd, 2017). However on problematic billing issue with Medicaid, the Omaha World Herald article mentions, “it’s more instability to a system that’s struggling to begin with,” said State Sen. Colby Coash of Lincoln, chairman of the Legislature’s developmental disabilities oversight committee. We really can’t afford to lose any providers” (Omaha World Herald, 2014).

Winds of disaster, waves of multitude, preparations galore, the wait is on to determine the outcome of a hurricane. Being one of the most devastating and feared natural disasters, hurricanes are a brutal and unpredictable force. Never knowing what could happen or what they will do, forewarning and preparation for hurricanes are highly recommended. A hurricane is a form of a tropical cyclone or severe tropical storm that occurs in the eastern Pacific Ocean, Caribbean Sea, Southern Atlantic Ocean and Gulf of Mexico (conserve-energy-future.com). The cause of a hurricane is a force of nature, but the effects that follow are to land,

A study conducted from 1997 to 2006 shows an increase of Medicare patients receiving an epidural of one hundred and two percent per 100,000 people (Manchikanti). Epidurals allow the blockade of discomfort in a specific area with an injection of an anesthetic directly into the epidural space, located along the spinal column just below the spinal cord; however, the goal of this administration route is not to eliminate total lack of feeling but to provide the patient with relief from strain so they may continue their activities of daily living. Pain, the body’s number one defense mechanism, transmits signals through nerves to the final destination of the brain. By blocking irritated nerve signals with an epidural, the mind and body can relax. Narcotics, an alternative option for uneasiness, only last for a limited amount of time and require frequent administration, while epidurals possess a longer mechanism of action and only require a one-time injection. Therefore, it remains as the primary line of method of pain alleviation for labor. Epidurals provide effective pain relief for expectant mothers without causing harm to her or the newborn baby, which has, caused a dramatic increase in the popularity of epidurals over the past decade.

Both clinicians who are enquiring clinical questions and researchers who are conducting in-depth searches for systematic reviews come across a few

Often feeling the pressure of family and the uncertainty of the baby’s arrival can be a motivating factor toward choosing a planned birth. The mode of delivery in many ways can be up to the discretion of a physician, more so because “the medical community’s fear of litigation” even so “Obstetric nurses are 10 times more likely to be in the courts” as oppose to non-obstetric nurses(Sibbald, 2003, para. 3). The advantages of performing a ECS is having the patients preferred healthcare provider available and “greater ease of balancing staffing levels with clinical volume”(Salim & Shalev, 2010, p. 4). Ultimately, avoiding patient morbidity and fatigue with the healthcare team can contribute to a positive outcome. Although, scheduling birth based on timing and convenience can be a motivating factor for CDMR. It’s been “shown that respiratory morbidity in Elective Cesarean section is inversely related to gestational age at the time of ECS” (Ramachandrappa & Jain, 2009, para. 9). With

I picked this article because I am curious on what the side effects of an epidural are because of I’ve always known about the pros of Epidurals and how it is a successful pain reliever. An epidural makes the person so numb that it's hard to contract and push adequately and this makes the labor longer. With the labor process increasing it leads to cesarean which has more side effects and the recovering time longer than natural birth which impacts the mother and baby bond for the first couple days. a study that was done with women babies for the first time during the second phase stage of labor was much longer coming at 336 minutes with an epidural. Women that choose natural birth had 197 minutes of labor this was a difference of 2 hours and

Experiencing childbirth for the first time can be a daunting task. Asking the important questions, however, is essential in making monumental decisions for newborn babies. Perhaps one of the most controversial topics of pregnancy is pain management. Some women want a natural birth while others request medication to ease the experience. Whether you do or don’t want medication it’s crucial to know your opinions. For many mothers, the solution to contractions is an epidural. Essentially an epidural is an injection of anesthetic made in the lower back.

Childbirth can be described as one of the most rewarding and also painful experiences in a woman’s life. Most women choose some type of method to ease pain, however, there has been a lot of controversy over with pain management method is the most effective. According to the CDC (Center for Disease Control), In 2013, there were 3,932,181 births recorded in the United States, 32.7% of those births were surgical procedures. In 2012, 1.36% of recorded births occurred out-of-hospital, meaning these births took place mostly in homes or birthing centers. Without the option of medicine that a hospital provides, how were these women able to manage their pain during labor and delivery. There are many different methods for easing pain during childbirth, some methods involve the use of medicine and surgery, and others include natural techniques, such as hypnosis, Lamaze, and many others. It is a personal preference of the parents over which method is right for the needs of the mother and child. This can be an overwhelming decision for new parents to make because they have to take into consideration the safety of the mother and child, pain management for the mother and desire for medical involvement.